Incremental health expenditure and lost days of normal activity for individuals with mental disorders: results from the São Paulo Megacity Study

Abstract: Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.

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Treatment of the lateral patellar luxation in toy poodles

Ciência Rural ◽

10.1590/s0103-84782005000400015 ◽

2005 ◽

Vol 35 (4) ◽

pp. 843-847 ◽

Cited By ~ 1

Author(s):

João Guilherme Padilha Filho ◽

Francisco de Assis Dórea Neto ◽

Hélia Cristina Dórea ◽

Rodrigo César Sanches ◽

Júlio Carlos Canola

Keyword(s):

Retrospective Study ◽

Clinical Examination ◽

Surgical Repair ◽

Pathological Condition ◽

Normal Activity ◽

Sao Paulo ◽

Tibial Tuberosity ◽

São Paulo ◽

Congenital Origin ◽

Veterinary Hospital

The purpose of this retrospective study was to report the occurrence of lateral patellar luxation in poodles. The animals were referred to the Orthopedics Service of the Veterinary Hospital, Faculdade de Ciências Agrárias e Veterinárias, - Jaboticabal Campus, São Paulo, Brazil, twelve client-owned poodles, seven females and five males poodles ranging in age from three to nine months. Clinical examination showed lameness, pain and deformities of the affected limbs. Surgical trochleoplasties were performed with medial retinacular overlap and medial tibial tuberosity transposition. The animals recovered their normal activity within a period of one to two weeks after surgery. Although this was a rarely occurring pathological condition in poodles, surgical repair was easy to execute because of its similarity to correction of medial patellar luxation. Lateral patellar luxation in small dogs is rare and, when present, is of congenital origin, at times progressing to marked functional impotence of the affected limbs.

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Percepção da depressão pela população da cidade de São Paulo

Revista de Saúde Pública ◽

10.1590/s0034-89102008000100006 ◽

2008 ◽

Vol 42 (1) ◽

pp. 41-48 ◽

Cited By ~ 9

Author(s):

Érica de Toledo Piza Peluso ◽

Sérgio Luís Blay

Keyword(s):

Mental Disorders ◽

Sao Paulo ◽

São Paulo ◽

Statistical Manual ◽

Diagnostic And Statistical Manual

OBJETIVO: Avaliar como a população identifica os sintomas de depressão e suas causas. MÉTODOS: Foi realizado inquérito domiciliar em 2002 com amostra probabilística de 500 indivíduos residentes em São Paulo, com idade entre 18 e 65 anos. Foi aplicado questionário estruturado que incluía dados sociodemográficos e apresentação de vinheta que descrevia uma pessoa com depressão, segundo o Diagnostic and Statistical Manual of Mental Disorders-IV e a Classificação Internacional de Doenças-10. A seguir, eram respondidas duas questões sobre a identificação dos sintomas da vinheta. A atribuição de causas foi avaliada mediante apresentação de 18 possíveis causas. Os resultados foram analisados por meio de regressão logística e análise de variância. RESULTADOS: Os sintomas apresentados foram identificados como "depressão" por menos da metade da amostra. Cerca de 20% dos entrevistados acreditaram tratar-se de doença mental. Baixa escolaridade foi a única variável associada à identificação como doença mental (OR=2,001, IC 95%: 1,275;3,141, p=0,003). As causas consideradas mais relevantes foram "desemprego" e "isolamento". Causas biológicas, espirituais e morais foram tidas como menos relevantes. Os determinantes associados às respostas sobre causas foram escolaridade, sexo, experiência pessoal com problemas mentais e identificação como doença mental. CONCLUSÕES: A população de São Paulo em geral e as pessoas com maior escolaridade em particular apresentam um modelo psicossocial de depressão que se afasta do modelo biomédico.

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Socio demographic characterization of users of Child and Adolescent Psychosocial Care Centers in the state of São Paulo

Estudos de Psicologia (Campinas) ◽

10.1590/s0103-166x2013000300008 ◽

2013 ◽

Vol 30 (3) ◽

pp. 383-391 ◽

Cited By ~ 1

Author(s):

Ana Cecília Andrade de Moraes Weintraub ◽

Michelle de Sousa Vasconcellos ◽

Isabella Teixeira Bastos ◽

Felipe Lessa da Fonseca ◽

Alberto Olavo Advíncula Reis

Keyword(s):

Mental Disorders ◽

High Frequency ◽

Nuclear Family ◽

Psychosocial Care ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

Severe Mental Disorders ◽

Regular School

The "Centros de Atenção Psicossocial Infanto-Juvenil" are dispositives of treatment for children and adolescents suffering from severe mental disorders. This article describes sociodemografic characteristics of users of those centers between September 2008 and February 2009 in the state of São Paulo, Brazil. Data from active files randomly selected was collected in 19 Centers in the state of São Paulo. The characteristics analyzed were divided in four groups of variables: identity; living conditions; family structure; schooling and occupation. The results indicated a higher concentration of users between 10 to 14 years-old; prevalence of males; tendency to nuclear and reduced family arrangements (45%); care primarily given by the mother (57%) and high frequency of users attending the regular school (86%). It was possible to identify a well-defined socio demographic profile of users, with differences regarding gender, attending the regular school and/or other institutions, as well as sharing a nuclear family arrangement.

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Spatial analysis of cases of Tuberculosis with Mental Disorders in São Paulo

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0949 ◽

2019 ◽

Vol 72 (3) ◽

pp. 654-662

Author(s):

Luiz Arroyo Henrique Arroyo ◽

Marcos Augusto Moraes Arcoverde ◽

Josilene Dália Alves ◽

Miguel Fuentealba-Torres ◽

Denisse Cartagena-Ramos ◽

...

Keyword(s):

Spatial Distribution ◽

Mental Disorders ◽

Illicit Drugs ◽

Secondary Data ◽

Sao Paulo ◽

São Paulo ◽

Paulo State ◽

Explanatory Factors ◽

Study Results ◽

São Paulo State

ABSTRACT Objective: To analyze the spatial distribution of Tuberculosis cases with Mental Disorders, identifying factors that determine its occurrence. Method: Ecological study, conducted in the municipalities of São Paulo State. Secondary data were used, with the incidence of Tuberculosis and Mental Disorders as dependent variables in the years 2012 to 2015 and independent variables, socioeconomic, health and income transfer data. The Geographically Weighted Regression was applied in this study. Results: It was observed a distinct distribution between cases of Tuberculosis and Mental Disorders in the municipalities of São Paulo State. Among the explanatory factors, the Primary Care Coverage, population of freedom and income inequality were spatially associated with Mental Illness (R2= 0.12); Alcoholism (R2= 0.12) Illicit Drugs (R2= 0.50) and Smoking (R2= 0.50). Conclusion / Final considerations: The study advances in knowledge by evidencing the spatial distribution of cases of Tuberculosis and Mental Disorders, evidencing the determining factors for its occurrence in São Paulo State.

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